Johnson, Mitchell Wayne

Johnson, Mitchell Wayne is an sole proprietor health care provider with primary practice located at 300 Kincaid St , Kingsport TN 37660-1420. He recently has only one registered license in Other Service Providers / Home Modifications, which is considered as his primary health care specialty. Johnson, Mitchell Wayne can be contacted via phone (423) 360-8990.

Contact Information

Primary practice address
300 Kincaid St Kingsport TN 37660-1420
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Home Modifications 171WH0202X

Profile Details

NPI number 1306169131
LBN Legal business name Johnson, Mitchell Wayne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2010
Last updated Mar 8th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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